Safety and Healthcare policy

Injury Prevention Plan

All staff members are responsible for daily monitoring of the children and items in each room. The Directors will assess removal and/or repair of hazards both inside and out. The Lead Teachers will maintain the injury log. Staff members will submit injury reports to the Assistant Director and will ask parents to sign a notification of injury form. The Assistant Director will place the report in the child’s file.

Emergency Telephone Numbers

Heath Care Consultant: 970-668-9196

Fire Department: 911

Rescue/Ambulance: 911

Poison Control: 1-800-332-3073

Emergency Health Care: 970-668-3300

The Carriage House has retained the services of a heathcare consultant at Summit County Nursing for the purpose of obtaining information and guidance both as needed and during periodic structured meetings. These policies have been reviewed and approved by the healthcare consultant.

In the Event of an Emergency Requiring Medical Attention

When a child is injured or becomes ill at the center, trained staff will perform first aid. If emergency medical attention is required, the staff will call the parent and an ambulance, if necessary. In the event of an injury or illness requiring immediate medical attention beyond the first aid administered by the staff, the director or teachers will call for an ambulance. Once help is on the way, that person will try to reach the parent, informing them of the emergency so that they can meet the child at the hospital.

If the child is transported to a hospital, a staff person will take the child’s file containing his/her medical form and medical authorization and remain with the child until a parent arrives.

If the injury or illness is not life threatening, the parent will be contacted first and they will take the child to get the appropriate medical care.

Procedures for using and maintaining First Aid equipment

Staff members are First Aid and CPR certified. Mini first aid kits are located in each classroom. The Health Liason will check the first aid kits every month to ensure that kits are adequately supplied. The classroom teacher must inform the Health Liason when first aid supplies are low. On field trips, the classroom staff will bring small first aid kits with them. The staff trained in first aid will attend to the injured child. The classroom teacher will check traveling first aid kits prior to leaving the building on field trips.

Fire Drills

The executive director is responsible for assuring that evacuation drills are practiced with all groups of children at least every two months. She/he will maintain a document log of the date, time and effectiveness of each drill. Directors are responsible for the orderly evacuation of the children they are responsible for and accounting for all children once outside the building. When directors are not present, a staff person will be assigned to this task. We rely on our sign-in sheets for an accurate account of children and staff present at any given moment.

In the event of an emergency requiring evacuation

When the fire alarm sounds, the children and staff will remain outside of the building. If the building is not safe, the children will utilize one of our alternate emergency sites, which are the Breckenridge Recreation Center or the Breckenridge Police Department building. If the area (the town of Breckenridge) is being evacuated we will wait (either in our building or at alternate site) for instructions from the fire department. We will notify parents by phone as to our location and our voicemail will be updated. Our teachers are instructed to take waivers, parent phone numbers, all medicine, and sign-in sheets when they leave the building.

When an emergency condition arises which does not cause the alarm to sound, the director or the person discovering the condition will make the announcement to evacuate. The procedure will then be the same as if the alarm sounded.

If we should experience blizzard conditions the staff will begin to notify the parents by phone to pick up their children. We will contact the Colorado State Patrol for confirmation. If the roads should become closed and parents are unable to arrive to pick up their children, staff will stay with the children until authorized to leave to maintain ratios. We have the sleeping capabilities if necessary and food and water supplies would be organized as necessary.

While on Field Trips

When children are on field trips the staff will carry a first aid kit and copies of the medical care authorizations. If a child is injured while on a field trip, trained staff will provide first aid. If medical attention is necessary, one staff person will call the center and an ambulance. The other staff member will remain with the injured child and the other children. There will be a minimum of two staff with children when leaving the Carriage House Property.

The staff at the center will call the parent and have them pick up the center or meet the child and staff at the hospital.

If the child is transported to the hospital, staff from the center will go to help bring the other children on the field trip back safely. The staff member who accompanies the child to the hospital will remain with the child until a parent arrives.

Lost Child

Staff are required to do head counts every ten minutes when away from our facility. Children are asked to remain where they are if separated from the group. One staff person will retrace steps while others remain with the other children. A child missing for ten minutes will be reported to the police.

PLAN FOR MANAGEMENT OF INFECTIOUS DISEASES

ILL Children

Children who are ill are not admitted to the center. When children develop an illness during the day, the center may call you and ask that your child be picked up. Conditions which mandate exclusion are: communicable, infectious diseases such as chicken pox or measles, strep throat, R.S.V., conjunctivitis etc. or any conditions which your doctor or our health consultant have identified as a health threat to the group.

Symptoms, which may alone or in combination, exclude a child from attending or remaining in child care are: (staff will use discretion based on the child’s overall condition and other factors.)

Vomiting/diarrhea

Severe headaches

Severe colds

Fever of 101 degrees F or more (100 degrees if 4 months old or less)

Unexplained frequent (two or more times) diarrhea in 24 hours

Discharge from the eyes

Unexplained rash

Drowsiness and listlessness

Children may return when these conditions are met:

Infectious disease – doctors permission to resume child care

Fevers – normal temperature for 24 hours without the aid of medication

Diarrhea – no diarrhea for 24 hours

Conjunctivitis – doctors permission

Infectious rash – doctors permission and under medication if appropriate

If on antibiotics, must be taking them from 24 hours before returning to center

NOTIFICATION OF COMMUNICABLE DISEASES

When the center becomes aware of any communicable disease, parents will be notified by posting on the program door.

PLAN FOR INFECTION CONTROL

Hygiene

Staff and children will wash their hands with liquid soap, running water, and friction. Staff and children will wash their hands at the following times or as needed:

Before eating or handling food

After toileting or diapering

After coming in contact with bodily fluids or discharge (i.e., wiping noses)

After handling animals or cages, leashes. Etc.

After cleaning

Cleaning schedule to be followed

The following areas will be cleaned after each use:

Diapering surfaces

Mouthed toys

Tables after snack, art and lunch

Bibs

Washcloths

Cups or eating utensils

The following areas will be cleaned daily:

Toilets and toilet seats

Sinks

Garbage or trash cans

Water table and play equipment

Fabric toys

Sheets and blankets

Play tables

Sleeping mats

Classroom toys

Floors and carpets (swept and mopped and vacuumed daily)

Disinfectant

The center will use a disinfectant liquid of ¼ cup bleach to 1 gallon of water (or 1 TBSP per quart for the sanitizer). This solution shall be made fresh each day and will be labeled. It will be stored out of the reach of children.

The Assistant Director will be responsible for ensuring that staff understand and follow the plan for infection control. Classes will be observed to be sure that the plan is being followed.

PLAN FOR MEETING SPECIFIC HEALTH CARE NEEDS

A parent will identify allergies. Children with allergies or special diets will have their specific allergies and/or diet restrictions posted in the classroom so that staff will always be aware of and reminded of such allergies. The staff will ensure that the child will not come into contact with or ingest an allergen.

Toilet Training and Diapering

Parents need to supply diapers for their child. We ask that you supply a replacement package of diaper wipes per month- non-allergic, non-scented. If your child should have an allergy to wipes, please supply your own wipes on a monthly basis and be sure your childcare provider is aware of this allergy (should be posted in the classroom).

Children will be changed every three hours and their diaper changes will be recorded on their daily summaries in the infant and toddler one rooms.

Potty training is handled on an individual basis. We are happy to help you and your child with this process. Please meet with your child’s teacher to discuss how we can help. If your child has an accident, the soiled clothing will be put directly into a plastic bag for you to take home. Potty training is a team effort, however, due to health regulations, the teachers may use their discretion and put your child in a diaper if necessary.

IMMUNIZATIONS

State regulations require that we maintain a record of each child’s successful immunizations. At the time of admission, the parent must provide documentation of the child’s immunization and it must prove to be appropriate for that age. Additionally, parents are responsible for bringing documentation of each immunization the child receives while enrolled at the center.

No child shall be required, under this regulation, to have any such immunization if his parent(s) objects, in writing, on the grounds that it conflicts with their personal beliefs or if the child’s physician submits documentation that such a procedure is not necessary. Every October, the immunization records will be updated so that we meet state regulations.

CARE OF MILDLY SICK CHILDREN

Mildly ill children will be allowed to rest quietly on a mat or in a crib. They will be given toys or a book if they desire. Food and liquids will be offered. If necessary, the child will be moved to the quiet room to rest while supervised. Parents will be notified to pick up the child. If a parent cannot be reached within an hour, their designated emergency person will be notified and asked to pick up the child. Appropriate care will be given until the child is picked up.

If you feel it is inappropriate for your child to be outside due to their condition please do not send them to the center. Outdoor play is a consistent and vital daily activity at the center. We cannot reduce our supervision of outdoor play for the purpose of leaving staff inside with one child.

PLAN FOR ADMINISTERING MEDICATION

Children who are on medication may take it while at the center. Only authorized medications will be given. The staff will make sure that the child gets any doses that are needed while the in the center. The parent and prescribing physician must fill out a medication form listing the medicine, the amount and the time of dosage. The staff member who gives the medication will record the dosage and sign the form. Completed forms will be put in the child’s file. The above conditions must be met before the center can administer medication. Medication must be in original prescription container.

Prescription Medicine

The child’s name must be on the bottle with a current date. No medicine may be administered if not in the prescription container. We ask that parents give medicines directly to staff. DO NOT put medications or vitamins in lunch boxes.

Non-Prescription Medicine

Must have doctors note (i.e. Tylenol, Cough syrup), which addresses the time frame and dosage amounts.

Non-Prescription Topical Medicine

The parent must give a written note with their signature, which will be valid for one year (i.e. sunscreen, Desitin, Vaseline).

Storing of Medicine

Medicine will be stored in the kitchen refrigerator. Leftover medicine will be returned to the parent.